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UNDERGROUND STORAGE TANK �PROGRAM <br /> WORK SHEET <br /> FEES PAID <br /> NO 'IRK SHEET RETURlED <br /> CK TURN-AROUND COPIES <br /> TANKS REG I PAID -E)r— <br /> ADDRESS CHANGE <br /> EVALUATION INSP <br /> EVAL INSP MAILED <br /> PRECISION TEST RCVD <br /> RELEASE SURCHARGE <br /> PERMIT TO OPERATE APPROVED <br /> TRANS FEE <br /> AMEND PERMIT <br /> RENEW PERMIT <br /> NEW SURCHARGE �70� I-Z�6UD�—rft �r4x1K <br /> S1ocKroN <br /> STOCKTON <br /> AMBULANCE <br /> Perry Schimke C.E.O. <br /> (209)948-6056 P.O. Boz 9150 <br /> FAX 948-3019 Stockton, CA 95208 <br /> 6/68 UST 23 <br />